Saturday 29 August 2015

Appendicitis- Antibiotics or Surgery?

Appendicitis is a common problem. On a rough estimate 20 lakh people in India might be diagnosed with appendicitis. Acute appendicitis is usually treated with Surgery. 15%-30% of these surgeries may be unnecessary as normal appendix is found after surgery,

Image Courtesy: Deviantart RunioRed

A new study has found that antibiotic therapy alone can cure  appendicitis in majority of people and can make surgery redundant. In this well randomized study antibiotics alone successfully treated this inflammation in a majority of 273 carefully selected patients with uncomplicated, acute appendicitis.

So what this means is that, you need to discuss the option of antibiotic therapy with your treating doctor. Based on your history and other parameters the Surgeon may consider it suitable and safe to treat with antibiotics. 

There have been advancements in surgical techniques also. Appendicectomy done by minimally invasive surgery has better recovery and lesser complication rate. This is not offered in all centers and under those circumstances one may opt for antibiotic therapy and later schedule a planned minimally invasive surgery. 

Also this new study helps patients who are at high risk for surgery because of other complications like heart disease or pulmonary insufficiency. 

t's great news that patients with uncomplicated, acute appendicitis now have two immediate treatment options. If you opt for surgery, you will never have to worry about getting appendicitis again. If you choose antibiotic therapy, there is a 27-percent risk that appendicitis will reoccur within one year. 

References:

1. JAMA Article

2. News Article From Huffington Post

3. Incidence for India

4. Imaging in Acute Appendicitis

If you have any questions you can mail us or contact us through any media.

Wish you healthy life! Prana Healthcare

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